Amended Appendix A - DA Form 1

Section 2 – Further development details
 7) Does the proposed development application involve any of the following?
 Material change of use                        Yes – complete division 1 if assessable against a local planning instrument
 Reconfiguring a lot                           Yes – complete division 2
 Operational work                              Yes – complete division 3
 Building work                                 Yes – complete DA Form 2 – Building work details

Division 1 – Material change of use
Note: This division is only required to be completed if any part of the development application involves a material change of use assessable against a local
planning instrument.
 8.1) Describe the proposed material change of use
 Provide a general description of the                  Provide the planning scheme definition                Number of dwelling        Gross floor
 proposed use                                          (include each definition in a new row)                units (if applicable)     area (m2)
                                                                                                                                       (if applicable)
 10 independent living units.                          Multiple Housing Type 3 – Retirement                  10
                                                       and Special Needs



 8.2) Does the proposed use involve the use of existing buildings on the premises?
     Yes
     No

Division 2 – Reconfiguring a lot
Note: This division is only required to be completed if any part of the development application involves reconfiguring a lot.
 9.1) What is the total number of existing lots making up the premises?


 9.2) What is the nature of the lot reconfiguration? (tick all applicable boxes)
     Subdivision (complete 10))                                           Dividing land into parts by agreement (complete 11))
     Boundary realignment (complete 12))                                  Creating or changing an easement giving access to a lot from
                                                                          a construction road (complete 13))

 10) Subdivision
 10.1) For this development, how many lots are being created and what is the intended use of those lots:
 Intended use of lots created               Residential               Commercial                Industrial             Other, please specify:


 Number of lots created
 10.2) Will the subdivision be staged?
     Yes – provide additional details below
     No
 How many stages will the works include?
 What stage(s) will this development application
 apply to?

 11) Dividing land into parts by agreement – how many parts are being created and what is the intended use of the
 parts?
 Intended use of parts created              Residential               Commercial                Industrial             Other, please specify:


 Number of parts created


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                                                                                                              DA Form 1 – Development Application details
                                                                                                                                Version 1.0—3 July 2017